Spontaneous cervical epidural hematoma: case report.
Spontaneous spinal epidural hematoma (SSEH) is an uncommon cause of acute nontraumatic myelopathy. We report a 14 year-old boy who had tetraplegia on awakening. Diagnosis of spinal epidural hematoma was made by magnetic resonance imaging. Despite spinal cord decompression within 9 h from onset, he remained tetraplegic. No cause for the bleeding was found. The pathogenic hypotheses of SSEH are discussed and the importance of rapid diagnosis and treatment is emphasized.
Awada
A
A
Section of Neurology, King Fahd National Guard Hospital, Riyadh, Saudi Arabia.
Russell
N
N
al Fayez
N
N
Naufal
R
R
al Kohlani
H
H
D000293:Adolescent; D006407:Hematoma, Epidural, Cranial / Q000150:complications / Q000473:pathology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011782:Quadriplegia / Q000209:etiology / Q000473:pathology